Deficiency Records for Alpha Home - A Waters Community
Updated as of October 01, 2016
This is not the most recent data for Alpha Home - A Waters Community. For the most recent information, click here.
A list of the most recent deficiencies for Alpha Home - A Waters Community. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| A written emergency evacuation plan. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| A written emergency evacuation plan. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2015-08-24 | 2015-09-23 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-08-04 | 2015-09-03 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-08-04 | 2015-09-03 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-08-04 | 2015-09-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-08-04 | 2015-09-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-08-04 | 2015-09-03 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2015-08-04 | 2015-09-03 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-08-04 | 2015-09-03 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-08-04 | 2015-09-03 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-08-04 | 2015-09-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-08-04 | 2015-09-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-08-04 | 2015-09-03 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2015-08-04 | 2015-09-03 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-02-16 | 2015-03-18 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-02-16 | 2015-03-18 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-02-16 | 2015-03-18 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-02-16 | 2015-03-18 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-02-16 | 2015-03-18 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-02-16 | 2015-03-18 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2015-02-16 | 2015-03-18 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-02-16 | 2015-03-18 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2015-02-16 | 2015-03-18 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2015-02-16 | 2015-03-18 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-02-16 | 2015-03-18 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-02-16 | 2015-03-18 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-02-16 | 2015-03-18 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-02-16 | 2015-03-18 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-02-16 | 2015-03-18 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-02-16 | 2015-03-18 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2015-02-16 | 2015-03-18 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-02-16 | 2015-03-18 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2015-02-16 | 2015-03-18 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2015-02-16 | 2015-03-18 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2015-01-30 | 2015-02-23 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2015-01-30 | 2015-02-23 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-01-30 | 2015-02-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-01-30 | 2015-02-20 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-01-30 | 2015-02-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-01-30 | 2015-02-20 | N |
| Provide proof that residents' personal money that is deposited with the nursing home is secure. | Health | 2014-08-22 | 2014-09-21 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2014-08-22 | 2014-09-21 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2014-08-22 | 2014-09-21 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-08-22 | 2014-09-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-08-22 | 2014-09-21 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-08-22 | 2014-09-21 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-08-22 | 2014-09-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-08-22 | 2014-09-21 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-08-22 | 2014-09-21 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2014-08-22 | 2014-09-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-08-22 | 2014-09-21 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-08-22 | 2014-09-21 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2014-08-22 | 2014-09-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-08-22 | 2014-09-21 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2014-08-22 | 2014-09-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2014-08-22 | 2014-09-21 | N |
| Provide proof that residents' personal money that is deposited with the nursing home is secure. | Health | 2014-08-22 | 2014-09-21 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2014-08-22 | 2014-09-21 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2014-08-22 | 2014-09-21 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-08-22 | 2014-09-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-08-22 | 2014-09-21 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-08-22 | 2014-09-21 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-08-22 | 2014-09-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-08-22 | 2014-09-21 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-08-22 | 2014-09-21 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2014-08-22 | 2014-09-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-08-22 | 2014-09-21 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-08-22 | 2014-09-21 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2014-08-22 | 2014-09-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-08-22 | 2014-09-21 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2014-08-22 | 2014-09-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2014-08-22 | 2014-09-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-10-29 | 2013-11-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-10-29 | 2013-11-16 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2013-10-29 | 2013-11-08 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-10-29 | 2013-11-08 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2013-10-29 | 2013-11-08 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-10-29 | 2013-11-08 | Y |
